DR. RICHARD D BACK PH.D
NPI 1528082096
Clinical Neuropsychologist in Fayetteville, AR

Active since July 27, 2006
1706 E JOYCE BLVD, SUITE 3, FAYETTEVILLE, AR 72703(479) 442-9381(479) 442-9396 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard D Back Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD D BACK PH.D (NPI 1528082096) is an individual clinical neuropsychologist in Fayetteville, Arkansas, licensed in Arkansas (78-18 P) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528082096
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. RICHARD D BACKCredential: PH.D
Location Address1706 E JOYCE BLVD, SUITE 3Fayetteville, AR 72703-5238
Mailing Address1706 E Joyce Blvd, Suite 3Fayetteville, AR 72703-5238 · (479) 442-9381 · Fax (479) 442-9396
Fax(479) 442-9396
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 14, 2008
NPI 1528082096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in AR · 78-18 P
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1706 E JOYCE BLVD, Fayetteville, AR 72703

Other Identifiers 2

Medicare ID-Type Unspecified56050AR
Medicare UPIN56050AR

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1706 E JOYCE BLVD, SUITE 3
FAYETTEVILLE, AR 72703
Neurological Surgery
1706 E JOYCE BLVD, 2
FAYETTEVILLE, AR 72703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Back's NPI number?

The NPI number for Richard Back is 1528082096. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Richard Back located?

Richard Back practices at 1706 E Joyce Blvd Suite 3, Fayetteville, AR 72703. The listed phone number is (479) 442-9381.

What is Richard Back's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

What insurance does Richard Back accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Richard Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Back was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.